| NPI | 1306947817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL RN9302371) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: WI 2798-033) |
| 363LF0000X Nurse Practitioner, Family (Licence: WI 2798-033) | |
| 363L00000X Nurse Practitioner (Licence: WI 2798-33) | |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2015-11-27 |